Individual provider Active NPI

Nessreen Sobh Rizvi, M.D.

  • Internal Medicine Physician
  • Belleville, MI
National Provider Identifier
1275718793
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301097600 Issued in MI
Practice address
11650 Belleville Rd
Belleville, MI 48111-3380
Phone
(734) 699-9888
Fax
(734) 293-1774
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097600 MI Primary

Addresses

Primary practice location

11650 Belleville Rd
Belleville, MI 48111-3380

Mailing address

11650 Belleville Rd
Belleville, MI 48111-3380
Phone (586) 596-9385

Other identifiers 3

IdentifierTypeStateIssuer
4301097600OtherMISTATE LICENSE #
1275718793OtherMIBCBS TYPE 1 (IND) NPI #
5315047914OtherMICDS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116000514 MI Practitioner - Internal Medicine 7719201995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301097600MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren Urgent Care Center PLLC CurrentSince Nov 15, 2014 Accepting new patients
Henry Ford Health System CurrentSince Sep 22, 2015 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Sep 22, 2015 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710

11650 Belleville Rd
Ste 101
Van Buren Township, MI 48111
Phone (734) 699-9888

Interoperability endpoints

  • Direct secure messaging: nrivzi367481@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1275718793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113380",
            "telephone_number": "586-596-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113380",
            "telephone_number": "734-699-9888",
            "fax_number": "734-293-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "NESSREEN",
        "middle_name": "SOBH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4301097600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TYPE 1 (IND) NPI #",
            "identifier": "1275718793",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS #",
            "identifier": "5315047914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

Verify at the official NPI Registry.